Healthcare Provider Details

I. General information

NPI: 1447607387
Provider Name (Legal Business Name): WILLIAM DAVID WALKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2016
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 MATLOCK RD STE 350
ARLINGTON TX
76015-2954
US

IV. Provider business mailing address

3201 MATLOCK RD STE 350
ARLINGTON TX
76015-2954
US

V. Phone/Fax

Practice location:
  • Phone: 817-468-3255
  • Fax: 817-468-7823
Mailing address:
  • Phone: 817-468-3255
  • Fax: 817-468-7823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP10057675
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberS4072
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: